Tribunal approves physical and optometric therapies but denies occupational therapy redundant to a pain program.
The applicant, a minor, was injured in a motor vehicle accident and sought various medical and rehabilitation benefits under the Statutory Accident Benefits Schedule.
The insurer denied the treatment plans.
The Tribunal found that the applicant was removed from the Minor Injury Guideline due to psychological impairments.
The Tribunal held that the treatment plans for massage therapy, chiropractic treatment, physiotherapy, and optometric services were reasonable and necessary to address the applicant's ongoing pain and post-concussion symptoms.
However, the Tribunal denied the plans for occupational therapy and social work services, finding them redundant as the applicant had been recommended to participate in a comprehensive hospital pain management program that would adequately address those needs.
Interest was awarded on the approved benefits.
OLATOntario Licence Appeal TribunalJun 1, 2023
